GRITMAN MEDICAL CENTER INC. NPI 1790182590

NPI Information

GRITMAN MEDICAL CENTER INC. is a clinic center in Moscow, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GRITMAN MEDICAL CENTER INC. NPI is 1790182590. The provider is registered as an organization entity type.
The provider Is Doing Business As Gritman Internal Medicine Clinic.

The provider's business location address is:

804 S WASHINGTON ST STE A
MOSCOW, ID
ZIP 83843-182
Phone: (208) 883-1152
Fax: (208) 882-1486

The provider's authorized official is Preston J Becker .
The authorized official title is Cfo and has the following contact phone number (208) 883-2221.

The enumeration date for this NPI number is 11/24/2014 and was last updated on 12/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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